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* 1. Proposed Course Title

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* 4. Science Strategy Alignment (click on link in title for details) Select the most appropriate.

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* 5. Top 10 HEOR Trends (click on link in title for details) Select the most applicable.

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* 7. Prerequisites, if included (eg, “must have previously attended a particular course or have equivalent knowledge”; “should be familiar with relevant concepts and methodologies”)

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* 8. Required Course Tools, if necessary (eg, laptop; custom software)

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* 9. Which delivery format is best for this course?

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* 10. Which delivery format is the second most compatible for this course?

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* 11. Proposal submitted by (primary instructor/trainer):

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* 12. 1. Primary Instructor/Trainer (more than 1 and maximum of 4 instructors is strongly suggested)

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* 13. Please Upload Your CV (no photo required)

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* 14. 2. Supporting Faculty/Trainer (more than 1 and maximum of 4 instructors is strongly suggested)

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* 15. Please Upload Your CV (no photo required)

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* 16. 3. Supporting Faculty/Trainer (more than 1 and maximum of 4 instructors is strongly suggested)

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* 17. Please Upload Your CV (no photo required)

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* 18. 4. Supporting Faculty/Trainer (more than 1 and maximum of 4 instructors is strongly suggested)

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* 19. Please Upload Your CV (no photo required)

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* 20. Proposed Course Description (click for course description examples)

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* 21. Proposed Abbreviated Course Description (abbreviated descriptions are 400 characters, including spaces)

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* 22. WOW Factor (Briefly, what makes your course so valuable?)

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* 23. Proposed Course Learning Objectives (SAMPLE):
After the completion of this course, participants will be able to:
1. Discuss ….
2. Explain ….
3. Develop ….
4. Utilize ….

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* 24. Proposed Course Time Allocations **Proposals must include a detailed outline on how the content would be presented over a 4-hour period.** (SAMPLE) 

8:00–8:15 Introduction
8:15–9:15 Content Section I*
- Focus Point 1
- Focus Point 2
- etc
9:15–10:00 Content Section II*
- Focus Point 1
- Focus Point 2
- etc
10:00–10:15 BREAK
10:15–11:00 Content Section III*
- Focus Point 1
- Focus Point 2
- etc
11:00–11:30 Breakout exercise
11:30–12:00 Content Session IV* / Wrap-up discussion / Q&A
- Focus Point 1
- Focus Point 2
- etc

*Content sections must be described in detail

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* 25. Engagement: Engaging participants in an activity or a hands-on application of the learning objectives is highly encouraged as part of the ISPOR Short Course Program. In what ways do you intend to engage participants during this program?

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* 26. Whole Health: ISPOR's Working Definition of Whole Health: "Whole health recognizes the collective impact of physical, behavioral, spiritual, and socioeconomic factors on one's health. It prioritizes enhancing health outcomes and the coordination of health and social service systems through a personalized and team-based approach, while promoting overall well-being, disease prevention, and equitable and accessible care." (References: 1. National Institute of Child Health and Human Development. Division of Population Health Research [DiPHR]. National Institutes of Health. Updated Oct. 10. 2023. Accessed Jan 31, 2024; 2. National Academies of Sciences, Engineering, and Medicine. Achieving Whole Health: A New Approach for Veterans and the Nation. The National Academies Press, 2023; 3. Whole Health. U.S. Department of Veterans Affairs. Updated January 30, 2024. Accessed February 20, 2024.)

In what ways will this course foster ISPOR's whole health strategy/mission/vision among participants?

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